JTforME public-use template: Provider Appointment Prep Message

Purpose: prepare for a pediatric, counseling, therapy, or other child-support appointment.

Appointment date/time:
Provider / office:
Reason for visit:

Short factual notes since last visit:
- Sleep / appetite / mood:
- School / childcare signals:
- Medication / health changes:
- Safety concerns already routed through appropriate channels:
- Questions for provider:

Records/releases/contact questions:
- Who can receive routine appointment notes?
- Is a release needed?
- What follow-up instructions should be written down?

Boundary: Keep this factual and child-centered. Do not ask the provider to resolve legal disputes.